Crucial Insights for NBCOT: OT vs. OTA
Review
four levels of supervision for the OTA -
\- Close supervision
- Routine supervision
- General supervision
- Minimum supervision
specific OT roles & responsibilities -
\- interprets referral
- responsible for all aspects of initial
- accountable for safety/effectivenes of tx/service delivery
- defines areas of disability to be evaluated, determines need for service, defines probs
to be addressed, determines goals/priorities, establishes interventions, determines
assessment tasks to implemented to COTA, interprets data from eval
- overall responsible for development/delegation of intervention
- determines need for service (e.g., makes recommendation to IEP team)
- determines need for continuing, modifying, or discontinuing OT services (OTR makes
adjustment if modification to tx must be made)
- responsible for supervising COTA, OT aide, and OT FW students
specific roles of OTA -
\- help gather data, administer parts of screening/eval, report observations
- deliver OT services under OT supervision
- collab with OTR to come up with intervention plan
- selects, implements, and makes mods to therapeutic activities/interventions consistent
with client's physical & cognitive levels, goals, requirements of practice setting
example: if working on muscle strengthening, can the COTA decide to use therapeutic
bands and dumbbells? -
\yes. they can select, implement, and modify therapeutic activities/interventions as long
as they're part of OT intervention plan (which OTA can give input on).
example of how OT would demo responsibility for development/delegation of
intervention -
\OT tracks progress & reads COTA notes to ensure appropriate tx has been
implemented
An OTA can contribute to the evaluation process, but they cannot -
\independently evaluate or initiate treatment prior to the OT evaluation.
, An OTA can contribute to the development and implementation of the intervention plan.
plus, he/she may be monitoring and documenting of the -
\individual's response to intervention under the OT supervision.
can an OTA complete a screening? -
\depends on the info required from it. OTA can state or write observations but cannot
make evaluation or determination of need for OT services.
can an OTA perform assessments as part of the evaluation? -
\yes, if directed by the OT and deemed competent, they can perform designated
assessments. HOWEVER they cannot interpret data.
Can an OTA make a splint? -
\EXPERIENCED OTAs can fabricate static splints and ASSIST with dynamic splints,
however OTs are responsible for splint goals.
can an OTA interpret data from assessments? -
\no, can perform/record under OT supervision if have sufficient experience, but cannot
interpret data.
how can OTA assist with developing plan? -
\OTA can collaborate with ct. and OT to develop the intervention plan
re: the intervention plan, the OTA is responsible for -
\being knowledgeable about eval results and for providing input into the intervention
plan, based on ct. needs and priorities
OTA is responsible for being ___ about ct OT goals -
\knowledgeable
can the OTA make modifications to therapeutic activities and interventions? -
\yes, as long as under appropriate level of supervision from OT. OTA can select,
implement, and make modifications to the therapeutic activities and interventions that
are consistent with competency levels, ct. goals, and requirements of the practice
setting.
can OTAs implement outcome measurements and provide discharge resources? -
\yes, but OTs must select the outcome measures to be used.
while analyzing and interpreting all eval data is role of OT, if allowed by specific state,
the OTA can -
\provide additional info on ct. performance or administer a standardized assessment
once service competency has been established
how is service competency defined? -
\"ability of OTA to obtain same or equivalent results as OT in eval and treatment"
Review
four levels of supervision for the OTA -
\- Close supervision
- Routine supervision
- General supervision
- Minimum supervision
specific OT roles & responsibilities -
\- interprets referral
- responsible for all aspects of initial
- accountable for safety/effectivenes of tx/service delivery
- defines areas of disability to be evaluated, determines need for service, defines probs
to be addressed, determines goals/priorities, establishes interventions, determines
assessment tasks to implemented to COTA, interprets data from eval
- overall responsible for development/delegation of intervention
- determines need for service (e.g., makes recommendation to IEP team)
- determines need for continuing, modifying, or discontinuing OT services (OTR makes
adjustment if modification to tx must be made)
- responsible for supervising COTA, OT aide, and OT FW students
specific roles of OTA -
\- help gather data, administer parts of screening/eval, report observations
- deliver OT services under OT supervision
- collab with OTR to come up with intervention plan
- selects, implements, and makes mods to therapeutic activities/interventions consistent
with client's physical & cognitive levels, goals, requirements of practice setting
example: if working on muscle strengthening, can the COTA decide to use therapeutic
bands and dumbbells? -
\yes. they can select, implement, and modify therapeutic activities/interventions as long
as they're part of OT intervention plan (which OTA can give input on).
example of how OT would demo responsibility for development/delegation of
intervention -
\OT tracks progress & reads COTA notes to ensure appropriate tx has been
implemented
An OTA can contribute to the evaluation process, but they cannot -
\independently evaluate or initiate treatment prior to the OT evaluation.
, An OTA can contribute to the development and implementation of the intervention plan.
plus, he/she may be monitoring and documenting of the -
\individual's response to intervention under the OT supervision.
can an OTA complete a screening? -
\depends on the info required from it. OTA can state or write observations but cannot
make evaluation or determination of need for OT services.
can an OTA perform assessments as part of the evaluation? -
\yes, if directed by the OT and deemed competent, they can perform designated
assessments. HOWEVER they cannot interpret data.
Can an OTA make a splint? -
\EXPERIENCED OTAs can fabricate static splints and ASSIST with dynamic splints,
however OTs are responsible for splint goals.
can an OTA interpret data from assessments? -
\no, can perform/record under OT supervision if have sufficient experience, but cannot
interpret data.
how can OTA assist with developing plan? -
\OTA can collaborate with ct. and OT to develop the intervention plan
re: the intervention plan, the OTA is responsible for -
\being knowledgeable about eval results and for providing input into the intervention
plan, based on ct. needs and priorities
OTA is responsible for being ___ about ct OT goals -
\knowledgeable
can the OTA make modifications to therapeutic activities and interventions? -
\yes, as long as under appropriate level of supervision from OT. OTA can select,
implement, and make modifications to the therapeutic activities and interventions that
are consistent with competency levels, ct. goals, and requirements of the practice
setting.
can OTAs implement outcome measurements and provide discharge resources? -
\yes, but OTs must select the outcome measures to be used.
while analyzing and interpreting all eval data is role of OT, if allowed by specific state,
the OTA can -
\provide additional info on ct. performance or administer a standardized assessment
once service competency has been established
how is service competency defined? -
\"ability of OTA to obtain same or equivalent results as OT in eval and treatment"
